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1467751370
YAISA ATHEA ALLEN
COVINGTON, GA
NPI
1467751370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-03-17
Last Update Date
2011-03-17
Business Address
-- YAISA ATHEA ALLEN ba
101 KIRKLAND RD
COVINGTON, GA 30016-3317
Phone number: 770-784-0076
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Mailing Address
-- YAISA ATHEA ALLEN ba
101 KIRKLAND RD
COVINGTON, GA 30016-3317
Phone number: 770-784-0076
Copy
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